NPI 1114140159
Jack Nelson
Practice location
- Address
- 9 Hanover St Suite 2, Lebanon, NH 03766-1312
- Phone
- (603) 448-0126
- Mailing address
- 85 Mechanic St Suite 360, Lebanon, NH 03766-1537
Registered specialties
Adult Companion
Primary
Registry record
- NPI
- 1114140159
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Apr 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.